Big Horn Basin Children's Clinic, PC

NPI #1013467851 in Cody, Wyoming

Provider Information

NPI Number: 1013467851
Entity Type: Organization
Organization Name: Big Horn Basin Children's Clinic, PC
Primary Specialty: Pediatrics
Enumeration Date: Oct 5, 2016
Last Updated: Feb 19, 2018

Practice Location

Address: 1220 SUNSHINE AVE
Address 2: SUITE 101
City: Cody
State: Wyoming
ZIP Code: 82414-4234
Phone: (307) 587-5545

Authorized Official

Name: ROBERT NEIL TREECE, MD
Title: OWNER
Phone: (307) 587-5545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Peter Damian Sidor, M.D.	Pediatrics	Cody	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Big Horn Basin Childrens Clinic PC	Pediatrics	Cody	AI Deep Dive

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